Understanding Your Financial Responsibility
Hillsdale Hospital is committed to providing the highest quality health care, as well as outstanding service concerning insurance and patient billing. This page will provide you with basic information about insurance plan participation, referrals and authorizations, covered vs. non-covered services, and balances that are your responsibility to pay.
You may receive separate bills for services received at Hillsdale Hospital, one for hospital services and others from providers, such as the Anesthesia Group and Radiology Group.
Insurance Plan Participation
If we have a contract with your insurance plan, your out-of-pocket costs are limited to co-payments, co-insurance, deductibles and non-covered services. Insurance contracts change periodically, and we recommend that you speak with your insurance plan to see if they include us in their network.
If your insurance plan does not have a contract with us, we will bill them as a courtesy to you, but any amounts unpaid by your plan will be your responsibility. Our Financial Counseling Office would be happy to assist you in setting up payment arrangements for these balances due.
We also participate with Medicare, Medicaid, Blue Cross/Blue Shield of Michigan, TRICARE, Michigan No-Fault, and Michigan Workers Compensation. For these plans, your out-of-pocket costs may be limited to co-payments, co-insurance, deductibles, and non-covered services.
Referrals and Authorizations
Many insurance plans require referral and/or authorization in order for services to be covered. A referral is permission from your primary care physician and your health plan to see a particular provider, or to have specific procedures performed. If your plan requires a referral, your primary care physician must provide the referral prior to services being rendered. If you arrive for services without a referral in place, you may be asked to sign a waiver that holds you financially responsible for the services you receive.
Authorizations are often required for procedures such as surgery or MRI. If an authorization is required, the ordering physician’s office staff will obtain the authorization from your health plan prior to the service. If you have questions about whether a service will be authorized, please call your health care provider.
Inside the main entrance of hospital, adjacent to the switchboard
168 South Howell Street
Hillsdale, MI 49242
8 am–4:30 pm